National Firefighter Registry

CDC and ATSDR Health Message Testing System

OMB: 0920-0572

IC ID: 240040

Documents and Forms
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Information Collection (IC) Details

View Information Collection (IC)

National Firefighter Registry 0920-0572-20KG
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORd Attachment C Focus Group ModGuide _ 1.30.20.docx No   Fillable Fileable
Other-WORD Attachment D Potential Survey Tool Questions.docx No   Fillable Fileable
Other-WORD Attachment E FG Demographics questions.docx No   Fillable Fileable
Other-WORD FormforFG LMM 9.27.19.docx No   Fillable Fileable

Workforce Management Worker Safety

 

2,060 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,060 0 2,060 0 0 0
Annual IC Time Burden (Hours) 520 0 520 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HMTS Expedite Form HMTSExpediteForm v3 LMM.pdf 02/21/2020
Att A_Background Attachment A Background _ 1.30.20.docx 02/21/2020
Att B_Informed Consent Attachment B Informed Consent.docx 02/21/2020
List of Attachments List of Attachments.docx 02/21/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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